39 BENGAL LN - BPA-14-1046 REPLACE INTERIOR/EXT. DOORS Y
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The Commonwealth of Massachusetts REC EVE
�!• j�e Board of Building Regulations and Standards INSPECTIONAL �
\1 Massachusetts State Building Code,780 CMR Re SsedAdar 2011
Building Permit Application To Construct,Repair,Renovate Or DOWAN 13 A 8: 01
One-or Two-Family Dwelling
- This Section For Official Use Only
Building Permit Number: Date Applied `
Building Official(Print Name) Signature " 6 Date/
SECTION 1: SITE INFORMATION
1.13Property A �ns(s'.QL L4H� 1.2 Assessors Map&Parcel Numbers -
1.In Is this an accepted street?yes /� no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
I' 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:._-
Zone: Outside Flood Zone? Ay =
Public[3 Private❑ Municipal❑ On site disposal M. ❑to r
Check if yes❑ -p
_ - SECTION 2: PROPERTY OWNERSIIIPr
2.1 OwnerrofRecord: Z
�'42oLyh 'Llo 9 94 �,aLe.r. 14A 019-20 z
Name(Print) �� City,State,ZIP a r t
3 J ge��eL �9ne 97F• �6•�qlb D �+
m
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) LJ ci
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Ad T tion LYE -
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work': e L 41T QATI� ,D
R&Ir SHWA- eQPO� tl'& prl0 1> ^tf' �Zie DoL>2, l�L� Cry IN iv0
�1QUC��I�It6C'So ALL 1H 68t'ISI`AdA PydS
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ qJ?0 rOQ 1.-Building Permit Fee: $ " Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List: € '
5.Mechanical (Fire $
Su ression Total All Fees: $
D Check No. Check Amount Cash Amount:
6. Total Project Cost: $ Y�? ❑Paid in Full ❑Outstanding Balance Due:
t'w` ���rl `Gd/(/l1 i b lq l y
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) �'S' -090 Q&
:fe-9 9 C�• /i j i-,Z/l License Number Expiration Date
Name of CSL Holder
� srlR rJh �? List CSL Type(see below)
O 6 y
No.mid Street Type Description
^ t o j�� 2 U Unrestricted Buildings u to 35.000 cu.ft.
�
MA d R Restricted 1&2 Fancily Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
97� 77r1 63�U oFF,�e,9TnK% I Insulation
Telephone Email address D I Demolition
5.2 Registered Home Improvement Contractor(HIC) 1 U U6 Sy a `1
G /1iI�GCirr 6 pi . y
HIC Com HIC Registration Number Expiration Date
j�p�y Name or HIC Registrant Name
D- l�Tdvi aFbceAzMAG*-iAg1 7�c/,ao. �o
and Street
,66`t?We/ /VA 419�� S7tF'77y Fja�(J Email addr
City/Town,State,ZIP Telephone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... dl'� No...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act y behalf',in all matters relative to work authorized by this building permit application.
7.
a� S x7 w
'tit Owner's tie(Electronic Si rare) ate
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
eta IPIALksh 14 Al sap
Print Owner's or Authorized Agent's Name(Electronic Signa ire) D to
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.a 142A.Other important information on the HIC Program can be found at
-;y .mass.gov/oea Information on the Construction Supervisor License can be found at www.mass.gov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
Sanctuary Condominiums
c/o Crowninshield Management Corp.
18 Crowninshield Street
Peabody, MA 01960
(978)532-4800
May 1,2014
Ms. Carolyn Hogan
39 Bengal Lane
Salem,MA 01970 "w
RE: Replacement Doors and Sliders—Sanctuary Condominiums
Dear Ms.Hogan:
Thank you for your inquiry regarding the replacement of your front door and slider doors.
Please be advised that the Board of Trustees for the Sanctuary Condominiums does not
object to the replacement of these doors providing that they match in appearance from the
existing,they must slide and not open like a French door, n etfi y must"fTi' the existing
opening. They will not allow grids etc. 1"' ifi m w rk mgsL§q the s ine well.
The front door must match in.appearance as well.
,
W also utre the permits b p fled in advance. and that a copy a the final-apprQyeO
. permit'once completed is 4159 Aubmitted.to ouroffice.— e also require that you hire only
a`Itcens'" ed contractor, with adequate insurance.
�You wili'm6 t likely need to show a copy of is letter to the Bu1diaigDepartmenta
derto olitatn`goue jSermit.
}
Should you have any questions or squire additional information,please feel free to call E
me directly-at(978)532-4800 ext#232.
Sincerely, I —�J �a"(JP�CJL --3 ✓��
Jill Fama,CMCA '
Property Manager
Crowninshield Management Corp.'
Managing Agent for the Sanctuary Condominiums"
cc: File 4
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